| NPI | 1952324584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036077036) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036077036) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-12-06 |